STARR Procedure
Stapled Transanal Rectal Resection - removes redundant rectal tissue causing outlet obstruction through the anal canal, providing structural correction for ODS and chronic constipation caused by internal intussusception.
What is STARR Procedure?
The STARR Procedure (Stapled Transanal Rectal Resection) uses two circular staplers introduced through the anal canal to perform a full-thickness resection of the anterior and posterior walls of the lower rectum - removing the redundant rectal tissue (internal intussusception, rectocele) that causes outlet obstruction.
Dr. Samhitha Reddy performs the STARR Procedure at Lux Hospitals, Hyderabad for carefully selected patients with obstructive defecation syndrome (ODS) or severe outlet-obstruction constipation. As part of the best doctor for constipation in Hyderabad programme, STARR is offered after biofeedback therapy has not achieved adequate improvement and defecography confirms a structural cause - specifically internal intussusception or significant rectocele.
STARR is not appropriate for functional ODS (pelvic floor muscle dysfunction) - biofeedback is the correct treatment for this. STARR is indicated only for structural ODS (internal intussusception, rectocele) confirmed by defecography and failing biofeedback. Patient selection is critical.
How the Procedure Works
Defecography Confirmation
Defecography confirms significant internal intussusception or rectocele contributing to ODS. Anorectal manometry excludes pelvic floor muscle dysfunction as the primary cause.
Two-Stapler Technique
Two PPH-03 staplers are introduced transanally. The first fires anteriorly, the second posteriorly - together performing a circumferential full-thickness resection of the lower rectum.
Redundant Tissue Removal
The redundant anterior wall (rectocele component) and posterior wall (intussusception component) are captured within the stapler and resected simultaneously.
Staple Line Assessment
The staple lines are carefully inspected for haemostasis and integrity. Any bleeding points are suture-ligated.
Recovery
Hospital stay 1 day. High-fibre diet and stool softeners prescribed. Follow-up at 6 weeks to confirm functional improvement.
Outcomes
Who Needs This Treatment?
- →No abdominal incision - entirely transanal approach
- →Directly removes the structural tissue causing outlet obstruction
- →Addresses both anterior (rectocele) and posterior (intussusception) components
- →1-day hospital stay - rapid recovery
- →Suitable for carefully selected patients with confirmed structural ODS
- →Available at Lux Hospitals, Hyderabad for selected ODS and constipation cases
STARR is a precision procedure for a specific problem - structural outlet obstruction. When selected correctly, it removes exactly the tissue that is blocking defecation and restores function remarkably. The key is rigorous pre-operative selection to ensure the patient has structural, not functional, obstruction.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
STARR Procedure Cost in Hyderabad
The cost of the STARR (Stapled Transanal Rectal Resection) procedure in Hyderabad depends on the severity of rectocele, presence of rectal intussusception, complexity of the condition, investigations required, and the care needed before and after surgery.
For patients with rectocele associated with intussusception, the approximate cost of the STARR procedure ranges between ₹1,20,000 and ₹2,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| STARR Procedure | ₹1,20,000 – ₹2,20,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence STARR Procedure Cost
The overall cost may depend on:
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Severity of rectocele and intussusception: The extent of rectal wall bulging, degree of intussusception, bowel symptoms, and associated pelvic floor conditions may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, pelvic floor assessment, imaging, and medical evaluations before surgery may affect the overall cost.
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Additional procedures: If procedures such as treatment of associated pelvic floor disorders, prolapse management, or other colorectal interventions are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, bowel care, dietary guidance, and follow-up requirements may influence the final estimate.
Is STARR Procedure Covered by Insurance?
STARR procedure may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether STARR procedure is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.